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CHANGING CYCLES LLC NPI 1265713705


NPI Information

NPI: 1265713705
Provider Name: CHANGING CYCLES, LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
14460 OLD MILL RD
SUITE 201
UPPER MARLBORO, MD
ZIP 20772
Phone: (301) 357-6605
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CHANGING CYCLES, LLC is a professional counselor in Upper Marlboro, MD. CHANGING CYCLES, LLC NPI is 1265713705. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14460 OLD MILL RD
SUITE 201
UPPER MARLBORO, MD
ZIP 20772-092
Phone: (301) 357-6605

The provider's authorized official is Keyona Shantrice Thomas-kelly .
The authorized official title is Vice-president And Coo and has the following contact phone number (301) 357-6605.

The enumeration date for this NPI number is 8/29/2011 and was last updated on 3/15/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessionalPRC13986DISTRICT OF COLUMBIANo
2101YP2500XCounselorProfessionalLC2555MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1440314200MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.